Wyoming currently has three Medicaid waivers that can serve children, all of which are home and community based 1915(c) waivers. All three are based only on the child’s income, waiving parental income for eligibility. See Wyoming’s Medicaid Eligibility page for links to the various different available programs or this page on developmental disability programs.

Advocacy Organizations in Wyoming:

Last updated 6/9/25

Programs in Wyoming

  • Target Population: Children with serious emotional disturbance or mental illness.
  • Ages: 4-21
  • Levels of Care: Hospital
  • Income Waiver: Yes, the waiver is based on the child’s income only. Parent income is not counted.
  • Waiver Type: 1915(c)
  • Spots: 135
  • Expiration Date: 6/30/2029
  • Description from medicaid.gov: Provides youth and family training and support services to individuals with mental illness ages 18-21 and individuals with serious emotional disturbance ages 4-17 years who meet a hospital level of care. This waiver operates with a concurrent 1915(b)(1), 1915(b)(3), and 1915(b)(4) authority.
  • Online State Information: Children’s Mental Health Waiver
  • Official Federal Information: 1915(c)
  • How to Apply: Call 1-855-883-8740 or fill out an application and follow the online instructions.
  • Waiting List: There are 362 people with developmental disabilities on Wyoming’s waiting list.
  • Target Population: Children and adults with developmental or intellectual disabilities and adults with brain injuries.
  • Ages: all ages
  • Levels of Care: Nursing Facility, Intermediate Care Facility
  • Income Waiver: Yes, the waiver is based on the child’s income only. Parent income is not counted.
  • Waiver Type: 1915(c)
  • Spots: 1057
  • Expiration Date: 3/31/2029
  • Description from medicaid.gov: Provides adult day services, case management, community living services, community support services, homemaker, personal care, respite, supported employment, dietician services, occupational therapy, physical therapy, skilled nursing, speech/hearing/language services, behavioral support services, child habilitation services, cognitive retraining, companion services, crisis intervention support, environmental modification, individual habilitation training, specialized equipment, and transportation services to individuals with developmental disabilities or intellectual disabilities ages 0 or older, and individuals with brain injury ages 21 or older who meet a nursing facility or ICF/IID level of care.
  • Online State Information: Comprehensive and Supports Waivers
  • Official Federal Information
  • How to Apply: Contact a Benefits and Eligibility Unit.
  • Waiting List: There are 362 people with developmental disabilities on Wyoming’s waiting list.
  • Target Population: Children and adults with developmental or intellectual disabilities, and adults with brain injuries.
  • Ages: all ages
  • Levels of Care: Nursing Facility, Intermediate Care Facility
  • Income Waiver: Yes, the waiver is based on the child’s income only. Parent income is not counted.
  • Waiver Type: 1915(c)
  • Spots: 1850
  • Expiration Date: 3/31/2029
  • Description from medicaid.gov: Provides adult day services, case management, community living services, community support services, homemaker, personal care, respite, supported employment, dietician services, occupational therapy, physical therapy, skilled nursing, speech/hearing/language services, behavioral support services, child habilitation services, cognitive retraining, companion services, crisis intervention support, environmental modification, individual habilitation training, special family habilitation home, specialized equipment, and transportation services to individuals with brain injury ages 21 or older, and individuals with intellectual disabilities or developmental disabilities ages 0 or older who meet a nursing facility or ICF/IID level of care.
  • Online State Information: Comprehensive and Supports Waivers
  • Official Federal Information
  • How to Apply: Contact a Benefits and Eligibility Unit.
  • Waiting List: There are 362 people with developmental disabilities on Wyoming’s waiting list.

Additional Information

  • For the Supports and Comprehensive Waivers: Wyoming State Statute 42-4-102(a)(ii) provides the statutory authority to allow payments to legally responsible individuals. “Children under the age of 18 may receive personal care services from a legally responsible individual for services that are deemed extraordinary care, if the legally responsible individual is the biological, adoptive, or step parent of a minor child, or the legally authorized representative of a minor child. Criteria for extraordinary care shall meet the requirements specified below, and shall be documented in the participant’s IPC: the participant’s Adaptive Behavior Quotient is 0.35 or lower on the ICAP assessment; and the participant needs assistance with ADLs or IADLs exceeding the range of expected activities that a legally responsible individual would ordinarily perform in the household on behalf of a person of the same age without a disability or chronic illness, and which are necessary to assure the health and welfare of the participant and avoid institutionalization; or the participant requires care from a person with specialized medical skills relating to the participant’s diagnosis or medical condition as determined appropriate by the participant’s licensed medical professional and DHCF. Personal care services for extraordinary care paid to a legally responsible individual shall not exceed four (4) hours per day per participant. Additional units needed beyond 4 hours a day shall only be approved by the Extraordinary Care Committee (ECC).”